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Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases
BACKGROUND: We report 3 patients with laser-induced choroidal neovascularization (CNV). METHOD: Retrospective, observational case series. Medical charts and photographs were reviewed. RESULTS: Two patients with central serous chorioretinopathy who developed iatrogenic CNV after focal laser photocoag...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597923/ https://www.ncbi.nlm.nih.gov/pubmed/28924442 http://dx.doi.org/10.1159/000479308 |
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author | Laovirojjanakul, Wipada Sanguansak, Thuss Yospaiboon, Yosanan Sinawat, Supat Sinawat, Suthasinee |
author_facet | Laovirojjanakul, Wipada Sanguansak, Thuss Yospaiboon, Yosanan Sinawat, Supat Sinawat, Suthasinee |
author_sort | Laovirojjanakul, Wipada |
collection | PubMed |
description | BACKGROUND: We report 3 patients with laser-induced choroidal neovascularization (CNV). METHOD: Retrospective, observational case series. Medical charts and photographs were reviewed. RESULTS: Two patients with central serous chorioretinopathy who developed iatrogenic CNV after focal laser photocoagulation were treated with intravitreal ranibizumab injections. One patient with CNV secondary to thermal laser photocoagulation for diabetic macular edema was treated with photodynamic therapy (PDT). Visual improvement has been demonstrated in the patients treated with intravitreal ranibizumab injections, and their successful visual outcome was stable for more than 2 years. Stable visual acuity was also observed in the patient treated with PDT, no visual improvement was observed possibly due to the macular scar and macular ischemia. No systemic or ocular complications were detected among the 3 cases. CONCLUSION: To prevent a laser-induced CNV, it is critical to avoid heavy small-spot laser burns and repeated application. Patients should be monitored carefully for CNV after laser treatment. In our cases, PDT and intravitreal ranibizumab injections were effective for the treatment of laser-induced CNV. |
format | Online Article Text |
id | pubmed-5597923 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-55979232017-09-18 Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases Laovirojjanakul, Wipada Sanguansak, Thuss Yospaiboon, Yosanan Sinawat, Supat Sinawat, Suthasinee Case Rep Ophthalmol Case Report BACKGROUND: We report 3 patients with laser-induced choroidal neovascularization (CNV). METHOD: Retrospective, observational case series. Medical charts and photographs were reviewed. RESULTS: Two patients with central serous chorioretinopathy who developed iatrogenic CNV after focal laser photocoagulation were treated with intravitreal ranibizumab injections. One patient with CNV secondary to thermal laser photocoagulation for diabetic macular edema was treated with photodynamic therapy (PDT). Visual improvement has been demonstrated in the patients treated with intravitreal ranibizumab injections, and their successful visual outcome was stable for more than 2 years. Stable visual acuity was also observed in the patient treated with PDT, no visual improvement was observed possibly due to the macular scar and macular ischemia. No systemic or ocular complications were detected among the 3 cases. CONCLUSION: To prevent a laser-induced CNV, it is critical to avoid heavy small-spot laser burns and repeated application. Patients should be monitored carefully for CNV after laser treatment. In our cases, PDT and intravitreal ranibizumab injections were effective for the treatment of laser-induced CNV. S. Karger AG 2017-08-08 /pmc/articles/PMC5597923/ /pubmed/28924442 http://dx.doi.org/10.1159/000479308 Text en Copyright © 2017 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Case Report Laovirojjanakul, Wipada Sanguansak, Thuss Yospaiboon, Yosanan Sinawat, Supat Sinawat, Suthasinee Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title | Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title_full | Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title_fullStr | Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title_full_unstemmed | Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title_short | Laser-Induced Choroidal Neovascularizations: Clinical Study of 3 Cases |
title_sort | laser-induced choroidal neovascularizations: clinical study of 3 cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597923/ https://www.ncbi.nlm.nih.gov/pubmed/28924442 http://dx.doi.org/10.1159/000479308 |
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